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Individual

OLATUBOSUN ODUSI

Active
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Individual

OLATUBOSUN ODUSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
216736
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0100713-02
AMERICHOICE
NY
05
02112912
NY
01
1000006625
AFFINITY HEALTH
NY
01
112940201
HEALTH PLUS
NY
01
1R0921
EMPIRE BCBS
NY
01
2031247
UNITED HEALTH CARE
NY
01
216736
HIP
NY
01
216736-A15
HEALTH FIRST
NY
01
2592835
AETNA USHC PPO
NY
01
2697890
GHI
NY
01
2C9466
HEALTH NET
NY
01
7440270
AETNA PPO
NY
01
OO6736
ATLANTIS HEALTH PLAN
NY
01
P2164401
OXFORD HEALTH PLAN
NY
Enumeration date
09/14/2005
Last updated
03/14/2024
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